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I can only hope that the lab repeated the test, and maybe even on a fresh sample, before you started treatment

There are different types of laxatives, and each of them causes changes in your gut that make you poop

Patients should follow a healthy diet, avoid excessive alcohol consumption, and be cautious with other medications that may affect the liver

doi:10.3109/15563650.2013.844822 Dempsey GA, Lyall HJ, Corke CF, Scheinkestel CD (2000) Pyroglutamic acidemia: a cause of high anion gap metabolic acidosis

Your provider may recommend slower dose escalation, dietary support, or ursodeoxycholic acid (a medication that reduces gallstone risk) if you carry risk factors